Internal Medicine Of Marietta | |
140 Vann Street Ne Suite 350 Marietta GA 30060 | |
(770) 771-5470 | |
(770) 771-5471 |
Full Name | Internal Medicine Of Marietta |
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Speciality | Internal Medicine |
Location | 140 Vann Street Ne, Marietta, Georgia |
Authorized Official Name and Position | Anupama Ravikanth (OWNER) |
Authorized Official Contact | 7707715470 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine Of Marietta 140 Vann Street Ne Suite 350 Marietta GA 30060 Ph: (770) 771-5470 | Internal Medicine Of Marietta 140 Vann Street Ne Suite 350 Marietta GA 30060 Ph: (770) 771-5470 |
NPI Number | 1649586595 |
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Provider Enumeration Date | 08/28/2010 |
Last Update Date | 01/15/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649586595 | NPI | - | NPPES |
1184719122 | Other | GA | PROVIDER NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 048297 (Georgia) | Primary |
Proactive Physicians Of Marietta, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 790 Church St Ne, Suite 220, Marietta, GA 30060 Phone: 678-753-9300 Fax: 678-753-9300 | |
Benchmark Pt Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 Johnson Ferry Rd Ste 130, Marietta, GA 30068 Phone: 770-565-3201 Fax: 770-565-3203 | |
Premise Health Of Georgia Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 South Cobb Drive Mail Drop 0454, Marietta, GA 30063 Phone: 770-494-4131 Fax: 770-494-7490 | |
Clifford Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1355 Church Street Ext Ne Ste G, Marietta, GA 30060 Phone: 678-388-1355 Fax: 770-422-1416 | |
Saint Joseph's Mercy Care Services, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1407 Cobb Parkway Nw, Marietta, GA 30060 Phone: 678-843-8600 | |
Epitome Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 631 Campbell Hill St Nw Ste 200, Marietta, GA 30060 Phone: 770-727-6124 | |
Wellstar East Cobb Medical Center, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Johnson Ferry Rd, Marietta, GA 30068 Phone: 770-579-7900 Fax: 770-579-7962 |